Prevention of Postpartum Hemorrhage: Implementing ... - POPPHI
Prevention of Postpartum Hemorrhage: Implementing ... - POPPHI
Prevention of Postpartum Hemorrhage: Implementing ... - POPPHI
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AMTSL12. Active management <strong>of</strong> the third stage <strong>of</strong> labor should be practiced only on women whohave a history <strong>of</strong> postpartum hemorrhage._______13. Delayed clamping and cutting <strong>of</strong> the umbilical cord is helpful to both term and pretermbabies._______14. Controlled cord traction should only be done in between contractions to prevent uterineinversion._______15. Controlled cord traction should never be applied without applying countertraction(push) to the uterus above the pubic bone with the other hand._______16. In the context <strong>of</strong> prevention <strong>of</strong> PPH, if oxytocin is not available or birth attendants’skills are limited, misoprostol should be administered soon after the birth <strong>of</strong> the baby._______17. Active management decreases the need for uterotonic drugs to manage postpartumhemorrhage._______18. The provider should wait for signs <strong>of</strong> placental separation before beginning controlledcord traction._______Monitoring during the immediate postpartum period19. Ms. A gave birth to a healthy baby girl 30 minutes ago. You managed the third stage<strong>of</strong> labor actively, the placenta was complete, and she had no perineal or vaginallacerations. You estimate that she lost about 300 mL <strong>of</strong> blood. Because the birth andthird stage were normal, it is only necessary to monitor Ms. A’s uterus and vaginalbleeding every hour._______20. To ensure that the uterus remains contracted after delivery <strong>of</strong> the placenta, theprovider should instruct the woman how the uterus should feel and how she canmassage it herself._______12 <strong>Prevention</strong> <strong>of</strong> <strong>Postpartum</strong> <strong>Hemorrhage</strong>: <strong>Implementing</strong> Active Management <strong>of</strong> the Third Stage <strong>of</strong> Labor